HomeMy WebLinkAboutF2018-0675 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mai
22LP C1rCild Nve,
Tenant Name
2. Description of Work
VFPA 13D Fire Sprinkler System
IF2_01 0U
Worksheet for Fire Permit ApplicationSM
City of Newport Beach - Building Division
Fire Sprinkler r', Fire Alarm j—', Fire Misc
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft y tc{0(71
r.. New r Add r! Alter ri Demo
Floor Suite No
# Units
Use
Valuation $ F2�10$�
# Stories I —
.*c* %X!!Cd5 : 56
Check Appropriate Box for Applicant/Notification
Information
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City _ _. __ State
Zip—
Telephone
r 4. Architect/Designer's Name Last
Gutierrez
First Rubi Lic. No.
r—'
Architect/Designer's Address
Architect/Designer's E-mail Address
8085 E. Crystal Dr.
RubiG@resfire.com
Ci
Anaheim State CA
Zi 92807 �, Telephone
p�
(714)666-8450
r 5. Engineer's Name Last,�� First��,__ Lic. No.
Engineer's Address
Engineer's E-mail Address
.__ __. .__ __. ... _..._.. ...,
City _ __ State �,
Zip
_.
� Telephone��
r 6. Contractor's Name Last Residential Fire Systems
First Lic. No. 786965 Class C-16
Contractor's Address
Contractor's E-mail Address
8085 E. Crystal Dr.
rq Q t�'SfiiY�.cOm
City Anaheim State CA
Zip 92807 Telep hone 714 666-8450
(._.�._
OFFICE USE ONLY PERMIT NO. Z�I
TYPE OF CONSTRUCTION PLAN CHECK NO. I /yn -V
OCCUPANCY- GROUP PLAN CHECK FEE $